Preliminary Results of the First Bariatric Surgery Service in the State of Sergipe - Brazil. Preparation of the Physical Structure and Surgical Techniques Used

Author(s):  
Fábio Almeida ◽  
Juliana Moura ◽  
Antonio Alves ◽  
Elisanio Cardoso ◽  
Sebastião Duarte ◽  
...  
2014 ◽  
Vol 146 (5) ◽  
pp. S-725
Author(s):  
Ricardo J. Fittipaldi-Fernandez ◽  
Cristina F. Diestel ◽  
Manoel P. Galvao Neto

2017 ◽  
Vol 33 (02) ◽  
pp. 225-232 ◽  
Author(s):  
Milos Kovacevic ◽  
Frank Riedel ◽  
Jochen Wurm ◽  
Gregor Bran

Multiple techniques have been described for dorsal nasal augmentation in rhinoplasty. In this article, we review common surgical techniques for raising the dorsum or eliminating dorsal irregularities, by highlighting inherent advantages and disadvantages of each method. Within the past few years, the use of diced cartilage grafts has become the workhorse in this field of interest. To overcome drawbacks of methods based on diced cartilage, we present a new concept for autologous augmentation, using regenerative medicine protocols. A mix of cartilage scales with cartilage pâté was embedded in platelet-rich fibrin (PRF). Since December 2015, a total of 48 patients were treated with this technique. Based on our preliminary results, cartilage scales in PRF appear to be a promising and reliable alternative to existing procedures for dorsal nasal augmentation.


2020 ◽  
pp. 1207-1221
Author(s):  
Carlos E. Jiménez-Gómez

Despite its origins, openness in the judiciary has expanded beyond transparency and, therefore, beyond the common law open justice principle. Several initiatives worldwide are echoing this trend and a new term, open judiciary, is arising as a way to address openness in the justice field. This chapter gives an overview of open judiciary initiatives worldwide, focusing on some of the most successful, in order to identify drivers of adoption, critical success factors, and preliminary results. The research is embedded in a broader exploratory study on the state of the art of open judiciary. The chapter is addressed to answer two of the research questions: What are some learning practices that can be identified worldwide in relation to openness in the judiciary? What are some of the most important lessons that can be learnt from these practices?


2011 ◽  
Vol 77 (10) ◽  
pp. 1403-1406 ◽  
Author(s):  
Hossein Masoomi ◽  
Brian Buchberg ◽  
Kevin M. Reavis ◽  
Steven D. Mills ◽  
Michael Stamos ◽  
...  

Venous thromboembolism (VTE) is a significant cause of morbidity and mortality in bariatric surgery. The aim of this study was to evaluate the effect of patient characteristics, payer type, comorbidities, and surgical techniques on development of VTE in bariatric surgery. Using the National Inpatient Sample (NIS) database from 2006 to 2008, clinical data of 304,515 morbidly obese patients who underwent bariatric surgery were examined. Multiple regression analysis was performed to identify factors predictive of VTE. The overall rate of in-hospital VTE was 0.17 per cent, with the highest rate of VTE observed in open gastric bypass (0.45%). The VTE rate was significantly lower in laparoscopic compared with open gastric bypass (0.13% vs 0.45%, respectively, P < 0.01) and in nongastric bypass compared with gastric bypass procedures (0.06% vs 0.21%, respectively, P < 0.01). Alcohol abuse [odds ratio (OR): 8.7], open operation (OR: 2.5), gastric bypass procedures (OR: 2.4), renal failure (OR: 2.3), congestive heart failure (OR: 2.0), male gender (OR: 1.5), and chronic lung disease (OR: 1.4) were associated with a higher rate of VTE. This study identified several significant risk factors for development of VTE in bariatric surgery. To minimize the risk of VTE, surgeons may consider these factors in selection of appropriate prophylaxis and bariatric surgical options.


2016 ◽  
Vol 40 (9) ◽  
pp. 1869-1874 ◽  
Author(s):  
Krzysztof Malecki ◽  
Jarosław Fabis ◽  
Pawel Flont ◽  
Zbigniew Lipczyk ◽  
Kryspin Niedzielski

Author(s):  
Catherine Frenkel ◽  
Aurora Pryor

The annual volume of bariatric surgery is growing, giving rise to an increase in complications requiring complex management, including revision. Bariatric revision procedures are also becoming increasingly necessary for weight-loss recidivism and patients at the extreme of obesity. This chapter outlines clinical management pathways used to address secondary bariatric surgery. It summarizes reasons for, and outcomes with, revision of a laparoscopic gastric band, vertical banded gastroplasty, sleeve gastrectomy, or Roux-en-Y gastric bypass. Surgical techniques used to manage weight regain or failed weight loss after bariatric surgery are also discussed. Finally, surgical solutions for bariatric surgery-induced malnutrition are described, particularly in the setting of biliopancreatic diversion, duodenal switch, or jejunoileal bypass. Overall, the chapter concludes that standardization of revisional procedures can have a significant patient impact, and guidelines must be evidence-based in order to ensure patient safety and success.


2017 ◽  
Vol 27 (11) ◽  
pp. 2868-2872 ◽  
Author(s):  
Oscar Cano-Valderrama ◽  
Andrés Sánchez-Pernaute ◽  
Miguel A. Rubio-Herrera ◽  
Inmaculada Domínguez-Serrano ◽  
Antonio J. Torres-García

Author(s):  
Jed Z. Buchwald

This article focuses on developments in optics in the nineteenth century, beginning with concepts and theories on light. It provides a background on eighteenth-century optics, citing the ideas of scientists such as Christiaan Huygens and Charles Coulomb, before discussing experiments on ray optics, polarization, interference, diffraction, and wave particles. It also considers the work of Jean Baptiste Biot, François Arago, Etienne Louis Malus, Augustin Jean Fresnel, and Thomas Young; the controversy between Biot and Arago over the theory of chromatic polarization; the emergence of a new mathematical optics; and experiments on the physical structure of wave optics, the diffraction integral, and unpolarized light. The article concludes with an assessment of the state of optics after 1840.


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